| Cep America - Psychiatry Pc | |
|
100 S San Mateo Dr San Mateo CA 94401-3805 | |
| (650) 696-5400 | |
| Not Available |
| Full Name | Cep America - Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 100 S San Mateo Dr, San Mateo, California |
| Authorized Official Name and Position | David Birdsall (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 6506965400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cep America - Psychiatry Pc 2100 Powell St Ste 400 Emeryville CA 94608-1872 Ph: (510) 350-2600 | Cep America - Psychiatry Pc 100 S San Mateo Dr San Mateo CA 94401-3805 Ph: (650) 696-5400 |
| NPI Number | 1396435921 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396435921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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